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GARDEN STATE BARIATRICS & WELLNESS CENTERLLC NPI 1104008374


NPI Information

NPI: 1104008374
Provider Name: GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC
Classification: Family Medicine - 207QB0002X
Entity Type: Organization

Specialization: Obesity Medicine

Address:
225 MILLBURN AVE
SUITE 204
MILLBURN, NJ
ZIP 07041
Phone: (973) 218-1990
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GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC is an obesity medicine family medicine in Millburn, NJ. The provider is a family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC NPI is 1104008374. The provider is registered as an organization entity type.

The provider's business location address is:

225 MILLBURN AVE
SUITE 204
MILLBURN, NJ
ZIP 07041-737
Phone: (973) 218-1990
Fax: (973) 629-1274

The provider's authorized official is Michael L Bilof .
The authorized official title is Owner and has the following contact phone number (973) 218-1990.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 2/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceNJ25MA05641900NEW JERSEYNo
2207QB0002XFamily MedicineObesity MedicineNJ25MA05641900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1119260MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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